Organization Active NPI

Emg Clinics of Tennessee PLLC

  • Physical Medicine & Rehabilitation Physician
  • Jackson, TN
National Provider Identifier
1962597492
Registry record updated Oct 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
EMG CLINICS OF TENNESSEE PLLC
Practice address
3035 North Highland Ave
Jackson, TN 38305-3411
Phone
(731) 664-0899
Fax
(731) 664-0946
NPI assigned
Oct 3, 2006
Last updated
Oct 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ronald C Bingham, MDNPI 1477521532
Title
Ceo
Phone
(731) 664-0899

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU Primary
Electrodiagnostic Medicine Physician 204R00000X NU

Addresses

Primary practice location

3035 North Highland Ave
Jackson, TN 38305-3411

Mailing address

3035 North Highland Ave
Jackson, TN 38305-3411
Phone (731) 664-0899

Other identifiers 5

IdentifierTypeStateIssuer
165324700OtherTNUS DEPT OF LABOR
DD3373OtherTNRAILROAD MEDICARE
3729760MedicaidTN
186367002MedicaidAR
7100202510MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN, AR3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20090121000664 MS Part B Supplier - Clinic/Group Practice 4981647641 Receives reassigned benefits from 6 practitioners
Practice locations: Southaven, MS; Tupelo, MS
O20120427000705 TN Part B Supplier - Clinic/Group Practice 4981647641 Receives reassigned benefits from 11 practitioners
Practice locations: Somerville, TN; Cordova, TN; Savannah, TN; Nashville, TN; Knoxville, TN; Lexington, TN; Bartlett, TN; Jackson, TN
O20150217000216 AR Part B Supplier - Clinic/Group Practice 4981647641 Receives reassigned benefits from 3 practitioners
Practice locations: Jonesboro, AR

National Provider Directory

National Provider Directory

Locations

805 Windover Rd
Jonesboro, AR 72401

2002 Holiday Ln
#300
Fulton, KY 42041

634 Spicer Dr
#A
Tupelo, MS 38804
Phone (601) 844-3668

8066 Walnut Run Rd
Ste 101
Cordova, TN 38018

8066 Walnut Run Rd
Ste 200
Cordova, TN 38018
Phone (901) 757-1200

1365 S Germantown Rd
Germantown, TN 38138
Phone (800) 244-1807

109 Suburban Rd
Ste 101
Knoxville, TN 37923

7865 Educators Ln
Ste 130
Memphis, TN 38133
Phone (301) 757-6100

123 Pickwick St
Bldg D1
Savannah, TN 38372

214 Lakeview Rd
Ste 4
Somerville, TN 38068

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382918400000",
    "number": "1962597492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 NORTH HIGHLAND AVE",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053411",
            "telephone_number": "731-664-0899",
            "fax_number": "731-664-0946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 NORTH HIGHLAND AVE",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053411",
            "telephone_number": "731-664-0899",
            "fax_number": "731-664-0946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMG CLINICS OF TENNESSEE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2013-10-28",
        "status": "A",
        "authorized_official_last_name": "BINGHAM",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "731-664-0899",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "204R00000X",
            "taxonomy_group": "",
            "desc": "Electrodiagnostic Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "165324700",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD3373",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3729760",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186367002",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100202510",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.